77053

CPT/HCPCS

Review by radiologist of breast duct image, 1 duct

Physician Fee Schedule

Facility

Medicare Payment

$12.81

Submitted Charge$84.11
Medicare Allowed$16.64
Providers71
Beneficiaries77
Total Services83
Office

Medicare Payment

$34.35

Submitted Charge$186.03
Medicare Allowed$44.83
Providers31
Beneficiaries35
Total Services38